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r4Z1(7�uo­� <br />i.SPARTMENT OF COMMUNITY DEVELOF...cNT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS 192 9 7¢TN �•% 5.� TYPE <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE /40•50 r.�'u6;7 <br />(2) PLUMBING 2 o • d D <br />(3) MECHANICAL /d • ov <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE 2 35- <br />(A) TO BE DETERMINED BY BLDG INSPECTOR 231 INCH <br />Asu (B) EXIST. WATER SERVICE, APPLICATION NO. <br />i <br />'�{ (C) APPROX. LOCATION U"c•-= / &,H hPPQ-o* -1 Ff-T S <br />Or It -1A-n*k S•r.24111CHART S-1205 <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE 2FEET DRIVEWAY(TYPE) <br />$ ¢fr7. o0 <br />(7) STATUS OF SEWER CHARGES: / ,, <br />BOND .� DISTRICT _� FOOTAGE <br />NOTES <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR SU TRUNK $ <br />LATERAL <br />TOTAL CONNECTION CHARGES $ <br />SEWER PERMIT FEE $©' BQ <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES $ cv - <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK $ <br />LATERAL 2 2 5 <br />SEWER SERVICE 3• Ego <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: LZ4LZ <br />1 A-r TO PIt ppPp'Or LeS 1`7 \_ l ors M•1 (. 28•( /JPPtc•� <br />(,po'-c 'OsQso. CHART <br />INFO COMPILED BY: DATE <br />APPROVAL: DATE <br />